Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shustak Dental Group, Inc

Organization Dentist · NPI 1417079906

Shustak Dental Group, Inc provides Dentist services in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

255 Park Ave Ste 509
Worcester, MA 01609-1953
Phone: (508) 754-7799
Fax: (508) 754-8558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 14677 (MA)

Record details

NPI number1417079906
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Shustak — Owner · (508) 754-7799
NPI enumeratedApril 4, 2007
Last updated in NPPESJuly 18, 2019
Mailing address255 Park Ave, Suite 509, Worcester, MA 01609-1953

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